99214 Office outpatient established mod 30 minutes
Also known as: moderate office visit, established patient, office E/M, established patient office visit level 4, moderate complexity visit, extended visit
Office or other outpatient visit for the evaluation and management of an established patient with moderate medical decision-making complexity and an expected duration of 30 minutes.
Clinical Context
Used for established patient office visits with moderate medical decision-making complexity, involving evaluation of new or worsening conditions or management of established conditions with some complexity.
RVU Breakdown
| Work RVU | 1.92 |
| Practice Expense RVU | 2.00 |
| Malpractice RVU | 0.14 |
| Total RVU | 4.06 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.